The effect of cannabidiol on sevoflurane minimum alveolar concentration reduction produced by morphine in rats
Cristina Orden1, Martín Santos1, María Ceprian2
1Medical and Surgical Research Unit, Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana, Hospital Universitario Puerta de Hierro-Majadahonda, Madrid, Spain.
Objective:
To investigate the effect of cannabidiol (CBD) on sevoflurane minimum alveolar concentration (MACSEV) reduction produced by morphine in rats.
Study Design:
Randomized, blinded trial.
Animals:
A total of 75 male Wistar Han rats weighing 276 ± 23 g (mean and standard deviation), aged 3 months.
Methods:
Cannabidiol (CBD) was prepared in an ethanol-solutol-saline vehicle. Animals were randomly divided into 15 groups and given an intraperitoneal bolus of 1, 3, 5, 6.5, 7.5 or 10 mg kg-1 of CBD alone (CBD1, CBD3, CBD5, CBD6.5, CBD7.5 and CBD10 respectively) or combined with 5 mg kg-1 of morphine (MOR+CBD1, MOR+CBD3, MOR+CBD5, MOR+CBD6.5, MOR+CBD7.5 and MOR+CBD10). While three controls groups: MOR+saline, MOR+vehicle and vehicle were given an intraperitoneal bolus of morphine with saline, morphine with vehicle or vehicle alone respectively. The MACSEV was determined from alveolar gas samples at the time of tail clamp application. The MACSEV reduction was analyzed using a one-way ANOVA followed by Tukey's test. Additionally, Kruskal-Wallis test for non-normally-distributed data was performed. Data are presented as mean ± standard deviation. P < 0.05 RESULTS: The mean MACSEV was not reduced by the action of CBD administered alone, but the addition of morphine to the different doses of CBD significantly reduced the MACSEV. That reduction was greatest in the MOR+CBD1, MOR+CBD7.5 and MOR+CBD10 groups (29 ± 5%, 32 ± 5% and 30 ± 6% respectively), less in MOR+CBD3 and MOR+CBD6.5 groups (24 ± 3% and 26 ± 4% respectively) and least in MOR+CBD5 group (17 ± 2%). However, only the MOR+CBD5 group was statistically significantly different from MOR+CBD1, MOR+CBD7.5 and MOR+CBD10 groups.
Conclusions And Clinical Relevance:
MACSEV in rat was unaltered by the action of CBD alone, the reduction in MACSEV produced by morphine was not enhanced by the addition of CBD at the doses studied.
Insights
Cannabidiol (CBD) alone did not alter sevoflurane minimum alveolar concentration (MACSEV) in rats. Combining CBD with morphine reduced MACSEV, but CBD did not enhance morphine's effect at the studied doses.
Area of Science:
- Anesthesiology
- Pharmacology
- Pain Management
Background:
- The combination of analgesics and anesthetics is crucial for effective pain management and anesthesia.
- Cannabidiol (CBD) is a non-psychoactive compound found in cannabis with potential therapeutic properties.
- Morphine is a potent opioid analgesic commonly used in anesthesia.
Purpose of the Study:
- To evaluate the effect of cannabidiol (CBD) on the reduction of sevoflurane minimum alveolar concentration (MACSEV) induced by morphine in a rat model.
- To determine if CBD potentiates or alters the anesthetic properties of morphine.
Main Methods:
- A randomized, blinded trial was conducted on 75 male Wistar Han rats.
- Animals received varying doses of CBD alone or in combination with morphine (5 mg/kg).
- Minimum alveolar concentration of sevoflurane (MACSEV) was measured, and data were analyzed using ANOVA and Kruskal-Wallis tests.
Main Results:
- CBD administered alone did not significantly alter MACSEV.
- Co-administration of morphine with CBD resulted in a significant reduction in MACSEV.
- The greatest reductions were observed with CBD doses of 1, 7.5, and 10 mg/kg, while the 5 mg/kg dose showed the least reduction.
Conclusions:
- Cannabidiol alone does not affect sevoflurane MACSEV in rats.
- The addition of CBD to morphine did not enhance the reduction in MACSEV produced by morphine at the tested doses.
- Further research may explore different CBD dosages or combinations for potential synergistic effects in anesthesia.
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